Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0131X | Foot Surgery | 00926 | MD |
Y | 213ES0131X | Foot Surgery | PO423 | DC |
NPI | 1093712184 |
---|---|
Provider Name | Dr. Stuart Brian Sibel |
First Address | Washington, DC 20006-1003 |
Second Address | Washington, DC 20006-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 03/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T30947 | (02) | DC |